Retrospective study about periodontal ligament healing of replanted permanent teeth in children
10.3969/j.issn.1671-167X.2015.02.024
- VernacularTitle:儿童恒牙全脱出牙周组织预后的回顾性研究
- Author:
Jie BAI
;
Yuming ZHAO
;
Man QIN
- Publication Type:Journal Article
- Keywords:
Tooth avulsion;
Periodontium;
Root resorption;
Tooth replantation;
Child
- From:
Journal of Peking University(Health Sciences)
2015;(2):312-316
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the prognosis about periodontal ligament healing of replanted perma-nent teeth in children and to examine the associated factors.Methods: The sample consisted of 49 children with 61 avulsed permanent teeth, whose injuries had been managed in the period from 2000 to 2012.The clinical data of replanted teeth were collected, and the follow-up period was no less than 12 months .The factors were analyzed in relation to postoperative outcomes, classified as functional periodon-tal healing ( FH ) , infection-related ( inflammatory ) resorption ( IRR ) and replacement resorption ( RR) .Results:The functional healing rate was 23.0%, while replacement resorption rate was 72.1%. The replacement resorption ( ankylosis ) was usually observed earlier by clinical examination than by radiographic examination.86.0% (40/47) resorptive processes were diagnosed within the first year. Physiological storages, such as milk, saline and saliva were significantly better to periodontal ligament healing than nonphysiological storages, such as tap water and sterilizing solutions ( chloramine and alco-hol) .Functional healing was found significantly more frequent in canines and premolars.Conclusion:The factor significantly affecting periodontal ligament healing is storage medium.Replacement resorption is the most common type of root resorption.The replacement resorption diagnosis must combine the radio-graphic examination with the clinical examination.It is better to follow up more than 1 year after tooth re-plantation.
